Reprint Permission Request

This Reprint Permission Request is for use when requesting permission to reprint text, illustrations or photographs. This letter sets out the details including the specific materials to be reprinted, where these materials are found and the credit line and copyright notice which will accompany the material. It is crucial that this request be set out in writing. A written Reprint Permission Request will prove helpful in the event there are disagreements regarding the reprinted materials.

This Reprint Permission Request includes:

• Permission: Requests permission for the right to reprint the materials;
• Material: Specific materials to be reprinted (text, illustrations, photographs) and the exact location where these materials are found;
• Notices: Sets out any credit line or copyright notice which will accompany the materials (i.e.. “used by permission of” or “copyright”).

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This attorney-prepared packet contains:

1. Reprint Permission Request

State Law Compliance: This form complies with the laws of your state

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